{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ALL WESTCARE PHARMACY LLC",
"LastName": null,
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"NamePrefix": null,
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"OtherLastName": null,
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"FirstLineMailingAddress": "2401 S EASTERN AVE.",
"SecondLineMailingAddress": "SUITE 2411",
"MailingAddressCityName": "LAS",
"MailingAddressStateName": "NV",
"MailingAddressPostalCode": "89104",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "702-629-2212",
"MailingAddressFaxNumber": "702-629-1866",
"FirstLinePracticeLocationAddress": "2401 S EASTERN AVE.",
"SecondLinePracticeLocationAddress": "SUITE 2411",
"PracticeLocationAddressCityName": "LAS",
"PracticeLocationAddressStateName": "NV",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "702-629-2212",
"PracticeLocationAddressFaxNumber": "702-629-1866",
"EnumerationDate": "10/18/2023",
"LastUpdateDate": "10/18/2023",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SHANAN",
"AuthorizedOfficialFirstName": "TASHIN",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "CEO",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "RPH",
"AuthorizedOfficialTelephoneNumber": "714-924-2800",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}